Laparoscopic radical gastrectomy versus traditional open surgery in elderly patients with gastric cancer:benefits and complications
Objective To compare the therapeutic effect and complications of laparoscopic radical gastrectomy and those of traditional open surgery in the elderly patients with gastric cancer.Method A retrospective comparison of therapeutic efficacy and complications between the elderly patients with gastric cancer(defined as those aged 70 years or older)who received laparoscopic gastrectomy and those underwent gastrectomy by open surgery.A total of 108 patients who either underwent the laparoscopic surgery(n=54)or traditional open surgery(n=54)at the Lanzhou General Hospital of Lanzhou Military Regionbetween June 2008 and March 2009 were analyzed.Results Compared to traditional open surgery,laparoscopic radical gastrectomy showed several advantages such as less intraoperative blood loss,being less invasive,shorter bedbound time,less intubation time,low frequency of fever,less time to normal diet,shorter hospital stay,and a low overall incidence of complications.No significant difference was found between laparoscopic surgery and open surgery in terms of operation time and the number of lymph nodes dissected.The 3-year cancer recurrence and mortality rates were similar in both groups.Conclusion Laparoscopic radical gastrectomy is a safe and effective procedure for the management of gastric cancer in the elderly,and was found to be superior to traditional open surgery in short-term curative effect.It therefore represents a feasible and safe surgical approach for the elderly patients with gastric cancer.
Gastric cancer laparoscopic radical gastrectomy traditional open operation curative effect prognosis
Hongbin Liu Hongtao Li Xiaopeng Han Lin Su Wankun Zhu Wei Xu Kun Li Qingchuan Zhao Hua Yang
Department of General Surgery,General Hospital of Lanzhou Military Region,＃333 Binhe South Road,Lanz Xijing Hospital of Digestive Disease,The Fourth Military Medical University,＃127 Changle West Road,X Xinqiao Hospital,The Third Military Medical University,＃183 Xinqiao Road,Chongqing 400037,China
国内会议
北京
英文
1-9
2017-05-19（万方平台首次上网日期，不代表论文的发表时间）